食管癌后程加速超分割放疗的副反应临床观察与护理  

Clinical observation and nursing of patients with esophageal cancer after late course accelerated hyperfractionated radiotherapy.

作　　者：孙红娟[1] 

机构地区：[1]泰兴市人民医院放疗科,江苏泰兴225400

出　　处：《海南医学》2013年第3期461-462,共2页Hainan Medical Journal

摘　　要：目的观察食管癌后程加速超分割放疗的副反应特点,总结护理对策,以提高临床护理水平。方法对84例食管癌后程加速超分割放疗患者的副反应特点及护理过程进行回顾性分析。结果 84例食管癌后程加速超分割放疗后放射性食管炎发生率为73.8%,放射性肺炎发生率为21.4%,骨髓抑制发生率为16.7%,放射性皮炎发生率为100%。针对各种副反应特点,采取一些有针对性的护理,使所有患者的放疗均得以顺利完成。结论熟悉食管癌后加速超分割放疗患者副反应特点,按患者副反应不同,对其采取相应的护理和治疗,可保证放疗的顺利进行,提高治疗效果,减少患者痛苦。Objective To observe the side effects of patients with esophageal cancer after late course acceler-ated hyperfractionated radiotherapy （LCAHFR）, and to sum up the nursing strategy. Methods The side effects and nursing process of 84 patients with esophageal cancer after LCAHFR were analyzed retrospectively. Results After LCAHFtL the incidences of radiation esophagitis, radiation pneumonitis, bone marrow suppression, radiodermatitis were 73.8%, 21.4%, 16.7%, and 100%, respectively. According to the side effects, specific care was performed to guar-antee the smooth progress of radiotherapy. Conclusion To be familiar with the side effects of esophageal cancer after LCAHFR, taking appropriate care and treatment according to various side effects can guarantee the smooth progress of radiotherapy, improve the therapeutic effect, and reduce the suffering of patients.

关 键 词：食管癌 放射治疗 后程超分割 临床观察 护理 

分 类 号：R735.1[医药卫生—肿瘤]